Legislative Session number- 85

Bill Name: SF1567

Relating to health

ARTICLE 1 - HEALTH INSURANCE

Allowing public assistance
data to be shared for MinnesotaCare enrollment and premium collection purposes;
authorizing the commissioner of human services to receive federal matching money
made available through the medical assistance (MA) program for managed care
oversight contracted through vendors; modifying certain medical assistance (MA)
eligibility requirements for children under a certain age; requiring
commissioner to develop and implement a physician directed care coordination
program for certain medical assistance recipients; requiring commissioner to
refer MinnesotaCare applicants and enrollees to the Minnesota health insurance
exchange, specifying certain exchange of private data requirements; modifying
certain MinnesotaCare eligibility requirements for families with children;
modifying certain duties of the commissioner relating to availability of private
insurance information; requiring the Minnesota health insurance exchange in
consultation with the commissioner to establish and administer the MinnesotaCare
II option program for subsidizing the purchase of private market health plans
for children eligible for MinnesotaCare in families with certain incomes;
specifying certain requirements for establishment of a standard benefit set,
health carrier participation, state subsidy premiums, enrollment and limitation
on changing plans, bonus accounts incentives and federal approval waivers and
approval; modifying certain managed care plan vendor requirements; establishing
a new MinnesotaCare sliding fee scale premium schedule for children; providing
premium discount incentives for eligible adults and families with children;
repealing a certain provision relating to sliding fee scale monthly gross
individual or family income for premiums

ARTICLE 2 - HEALTH CARE ACCESS AND
QUALITY

Modifying certain health insurance premium rate restrictions;
"Minnesota Health Insurance Exchange"; providing for greater individual choice
of health insurance products, specifying organization, operation and
requirements, requiring referral of all MinnesotaCare applicants, assigning
responsibility for MinnesotaCare premiums collection, specifying powers of the
exchange, requiring the exchange to establish procedures for dispute resolution,
requiring governance by a board of directors, specifying membership and
operation requirements, requiring board to appoint an exchange director,
authorizing commissions for insurance producers, specifying certain exchange
implementation requirements, requiring a study of insurer issue requirements by
the exchange, in consultation with commissioners of commerce and health, and to
report recommendations to the legislature by a certain date; requiring certain
employers to offer section 125 plans; defining certain terms; specifying certain
plan requirements; requiring the establishment of a method for tracking employer
compliance; specifying certain employer requirements and certain section 125
eligible health plans
(je)